JEFFREY BRIAN MARTIN (M.D.) – Anesthesiology Physician, NPI 1104079862
Anesthesiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,631 ANESTHESIOLOGY in IL
Provider Addresses for JEFFREY BRIAN MARTIN (M.D.)
12251 S 80TH AVE
PALOS HEIGHTS, IL 604631290
Phone: (708) 923-4000
Fax: (708) 923-8848
Type: Mailing
Medical Center Drive, Nashville, Davidson County, Tennessee, 37212, United States
4648 TVC
NASHVILLE, TN 372325614
Phone: (856) 266-6009
Type: Location
4440 W 95th St
Oak Lawn, IL 604532600
Phone: (708) 684-8000
Fax: (708) 684-2058
Type: Location
2900 W Oklahoma Ave
Milwaukee, WI 532154330
Phone: (414) 649-6000
Type: Location
1 Ingalls Dr
Harvey, IL 604263558
Phone: (888) 824-0200
Type: Location
1301 Medical Center Dr
4648 TVC
Nashville, TN 372325614
Phone: (856) 266-6009
Type: Location
12251 S 80th Ave
Palos Heights, IL 604631290
Phone: (708) 923-4000
Fax: (708) 923-8848
Type: Location
875 South Route 31
Crystal Lake, IL 600148190
Phone: (888) 396-3729
Type: Location
1425 N RANDALL RD
ELGIN, IL 601232300
Phone: (847) 742-9800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-11-17 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-10-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130828000452 | I | Anesthesiology | IL | TBD |
| I20240514001108 | I | Anesthesiology | VA | TBD |
| I20241001003321 | I | Anesthesiology | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 58 | 58 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 52 | 51 | $0 |
| 00142 | Anesthesia for lens surgery | 24 | 23 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 23 | 23 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 19 | 19 | $0 |
Insurance plans in this area (ZIP 60463)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | TN | 00142 | Anesthesia for lens surgery | 15 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| N E U R O L O G Y | IL | |
| Family Practice | IL | |
| Internal Medicine, Pediatric Medicine | IL | |
| Hospitalist, Family Practice | TX | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL |
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